| Entity Name: | SILVINA RAJSCHMIR MALTZ, DDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 May 2019 (6 years ago) |
| Document Number: | P19000038515 |
| FEI/EIN Number | 84-1736792 |
| Address: | 12955 BISCAYNE BLVD., Unit 203, North Miami, FL 33181 |
| Mail Address: | 4607 Pinehurst E Tr, Oakland Park, FL 33309 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063001790 | 2021-01-17 | 2021-01-17 | 18021 BISCAYNE BLVD APT 1701, AVENTURA, FL, 331602518, US | 12955 BISCAYNE BLVD STE 203, NORTH MIAMI, FL, 331812021, US | |||||||||||||||||||
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| Phone | +1 786-503-9897 |
Authorized person
| Name | DR. SILVINA JULIA RAJSCHMIR |
| Role | PRESIDENT -OWNER |
| Phone | 7865039897 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018697400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAJSCHMIR , SILVINA Julia | Agent | 18021 BISCAYNE BLVD., SUITE 1701, AVENTURA, FL 33160 |
| Name | Role | Address |
|---|---|---|
| RAJSCHMIR , SILVINA Julia | President | 18021 BISCAYNE BLVD., SUITE 1701 AVENTURA, FL 33160 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000150711 | BISCAYNE PARK DENTAL | ACTIVE | 2020-11-25 | 2025-12-31 | No data | 18021 BISCAYNE BLVD APART 1701, AVENTURA, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-06 | 12955 BISCAYNE BLVD., Unit 203, North Miami, FL 33181 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-06 | 18021 BISCAYNE BLVD., SUITE 1701, AVENTURA, FL 33160 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 12955 BISCAYNE BLVD., Unit 203, North Miami, FL 33181 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-13 | RAJSCHMIR , SILVINA Julia | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-30 |
| Domestic Profit | 2019-05-01 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
